Breast Care Nurse Certification

Breast Care Nurse Certification What percentage of cases of breast cancer occur in women older than 50? - 75% The highest breast cancer incidence rates in the United States are found in: - Non-Hispanic white women Which one of the following racial groups of American women have the highest rate of death from breast cancer? - African American women What percentage of breast cancers occur in males in the United States? - 1% Which one of the following is a characteristic of breast cancer in males? - Men are found to be significantly older at diagnosis than women. The prognosis of pregnant women with breast cancer when matched for age and stage of the disease - Does not differ from that of nonpregnant women with breast cancer breast health of African following statements best describes the According to research, which one of the American women of lower socioeconomic status (SES) compared to age-adjusted Caucasian women? - a. Breast cancer outcomes in minority women with a lower SES are worse than those of women with a higher SES. Which one of the following statements about breast cancer in lesbians is correct? - The risk of breast cancer in lesbian women is increased as compared to heterosexual women. A female patient, age 50, who is postmenopausal, tells you that she has recently experienced nipple discharge that is bilateral and milky. Your most appropriate response to her would be - "Nipple discharge is normal most of the time when it is bilateral. You should be examined if it becomes a persistent problem." The most common physical finding related to breast cancer is - a. A nontender hard mass Which one of the following is an unfavorable histological type of invasive breast cancer? - Infiltrating lobular carcinoma A patient is found to have atypical lobular hyperplasia (ALH) after a core-needle biopsy Based on the relative risk of ALH developing into a future breast cancer, you would expect the next recommended procedure for this patient to be - Excisional biopsy with which of the following symptoms Paget's disease of the nipple often presents with what symptoms? - Redness, mild scaling, and flaking of the affected nipple A patient asks, "What are tumor-suppressor genes?" As part of your answer, you explain that tumor-suppressor genes code for proteins that _______ growth-promoting factors. - c. Inactivate Mrs. Henderson's cancer is said to have been induced by familial carcinogenesis. From this, you can assume that in her case certain genes - Caused cancer by their absence Which one of the following statements best describes the significance of the BRCA1 gene? - b. It is an inherited gene mutation that identifies families at significant risk for breast cancer and ovarian cancer. Which one of the following statements regarding our understanding of the genetic susceptibility in breast cancer and ovarian cancer is correct? - The BRCA2 gene mutation is associated with an increased susceptibility to both breast and ovarian cancer. Joan is considering taking hormonal replacement therapy (HRT) for her chronic osteoporosis. Which of one the following is the most appropriate response to her questions about HRT? - "HRT has been shown to reduce fractures related to osteoporosis, but can increase your risk of developing breast cancer." Which one of the following is considered a precancerous condition? - Lobular carcinoma in situ Which one of the following is the best description of simple breast cysts? - Smooth, rounded lumps that are moveable within the breast Fibroadenomas, common benign breast tumors, are best diagnosed by which one of the following? - Fine-needle aspiration A 35 year old woman who is breastfeeding comes to the clinic seeking prescription for a mammogram. She is experiencing fever, a breast lump, unilateral breast pain, redness, and tenderness of the affected breast. The most appropriate response to her is: - "We will do a breast examination on you today to see if you have a breast asbcess." Tenderness, breast pain, and sensations of tightness in one or both breasts that commonly occurs in women is referred to as - Mastodynia According to the National Comprehensive Cancer Network, when should women who have a prior history of thoracic radiation therapy (RT) and are 25 years of age or older begin annual mammograms plus clinical breast exams every 6 or 12 months as part of their breast cancer screening? - Begin 3 to 5 years after RT or age 25, whichever is more recent Josie comes to the clinic with a chief complaint of persistent unilateral clear niple discharge that is reproducible on breast exam. According to National Comprehensive Cancer Network, what is the most appropriate measure with this complaint? - Mammogram +/- ultrasound The purpose of screening mammograms is - To provide routine breast surveillance for the asymptomatic patient The most widely used screening programs have been for the early detection of - Breast and cervical cancer Nurses must communicate to patients about the accuracy of screning tests. Which one of the following attributes is correct? - The specificity of a screening test is its ability to identify those individuals without cancer. Which one of the following statements by a participant in a community health fair demostrates understanding of some aspects of quality control of screening mammography facilities? - "I can find data about adverse events and actions taken against mammography facilities in my area." Which one of the following is an appropriate recommendation for breast MRI screening as an adjunct to mammography? - In a woman with a BRCA gene mutation What regulatory act or agency serves to regulate quality control for mammography in the United States? - The Mammography Quality Standards Act (MQSA) The Breast Imaging Reporting and Data System (BI-RADS®) is used to summarize findings on mammograms. Which BI-RADS® category is used to indicate a benign finding with routine follow-up recommended? - Category 2 You are participating in a community health fair for senior citizens. What is the most appropriate response regarding mammographic